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Many people with a diagnosis of PTSD struggle with self-compassion. The intense symptoms of PTSD can disrupt many areas of a person's life resulting in feelings of guilt, shame, negative thoughts, helplessness & hopelessness. A lack of self-compassion can have a huge impact on recovery & may decrease motivation to continue treatment, leading to self-destructive behaviors. For example, a person might begin to engage in deliberate self-harm as a form of self-punishment.